296 research outputs found
Unsteady effects during resistance tests on a ship model in a towing tank
It is known that there are oscillations in the wave resistance during the constantvelocity phase of a towing-tank resistance test on a ship model. In this work, the unsteady thin-ship resistance theory has been applied to this case. The results have been compared with experiment data obtained using a towing carriage the velocity history of which can be programmed. It is demonstrated here that generally excellent correlation exists between the theory and the experiments. In particular, one can predict the influence of Froude number, rate of acceleration, and type of smoothing of the acceleration on the characteristics of the oscillations. These characteristics include the amplitude, rate of decay, frequency, and phasing of the oscillations in the curve of wave resistance versus time
Studies of Mass and Size Effects in Three-Dimensional Vibrofluidized Granular Mixtures
We examine the steady state properties of binary systems of driven inelastic
hard spheres. The spheres, which move under the influence of gravity, are
contained in a vertical cylinder with a vibrating base. We computed the
trajectories of the spheres using an event-driven molecular dynamics algorithm.
In the first part of the study, we chose simulation parameters that match those
of experiments performed by Wildman and Parker. Various properties computed
from the simulation including the density profile, granular temperature and
circulation pattern are in good qualitative agreement with the experiments. We
then studied the effect of varying the mass ratio and the size ratio
independently while holding the other parameters constant. The mass and size
ratio are shown to affect the distribution of the energy. The changes in the
energy distributions affect the packing fraction and temperature of each
component. The temperature of the heavier component has a non-linear dependence
on the mass of the lighter component, while the temperature of the lighter
component is approximately proportional to its mass. The temperature of both
components is inversely dependent on the size of the smaller component.Comment: 14 Pages, 12 Figures, RevTeX
Mapping levels of Palliative Care development in 198 Countries: the situation in 2017
Context
Palliative care is gaining ground globally and is endorsed in high-level policy commitments, but service provision, supporting policies, education, and funding are incommensurate with rapidly growing needs.
Objectives
The objective of this study was to describe current levels of global palliative care development and report on changes since 2006.
Methods
An online survey of experts in 198 countries generated 2017 data on 10 indicators of palliative care provision, fitted to six categories of development. Factor analysis and discriminant analysis showed the validity of the categorization. Spearman correlation analyses assessed the relationship with World Bank Income Level (WBIL), Human Development Index (HDI), and Universal Health Coverage (UHC).
Results
Numbers (percentages) of countries in each development category were as follows: 1) no known palliative care activity, 47 (24%); 2) capacity-building, 13 (7%); 3a) isolated provision, 65 (33%); 3b) generalized provision, 22 (11%); 4a) preliminary integration into mainstream provision, 21 (11%); 4b) advanced integration, 30 (15%). Development levels were significantly associated with WBIL (rS = 0.4785), UHC (rS = 0.5558), and HDI (rS = 0.5426) with P < 0.001. Net improvement between 2006 and 2017 saw 32 fewer countries in Categories 1/2, 16 more countries in 3a/3b, and 17 more countries in 4a/4b.
Conclusion
Palliative care at the highest level of provision is available for only 14% of the global population and is concentrated in European countries. An 87% global increase in serious health-related suffering amenable to palliative care interventions is predicted by 2060. With an increasing need, palliative care is not reaching the levels required by at least half of the global population
Symptoms associated with victimization in patients with schizophrenia and related disorders
Background: Patients with psychoses have an increased risk of becoming victims of violence. Previous studies have suggested that higher symptom levels are associated with a raised risk of becoming a victim of physical violence. There has been, however, no evidence on the type of symptoms that are linked with an increased risk of recent victimization. Methods: Data was taken from two studies on involuntarily admitted patients, one national study in England and an international one in six other European countries. In the week following admission, trained interviewers asked patients whether they had been victims of physical violence in the year prior to admission, and assessed symptoms on the Brief Psychiatric Rating Scale (BPRS). Only patients with a diagnosis of schizophrenia or related disorders (ICD-10 F20–29) were included in the analysis which was conducted separately for the two samples. Symptom levels assessed on the BPRS subscales were tested as predictors of victimization. Univariable and multivariable logistic regression models were fitted to estimate adjusted odds ratios. Results: Data from 383 patients in the English sample and 543 patients in the European sample was analysed. Rates of victimization were 37.8% and 28.0% respectively. In multivariable models, the BPRS manic subscale was significantly associated with victimization in both samples. Conclusions: Higher levels of manic symptoms indicate a raised risk of being a victim of violence in involuntary patients with schizophrenia and related disorders. This might be explained by higher activity levels, impaired judgement or poorer self-control in patients with manic symptoms. Such symptoms should be specifically considered in risk assessments
Molecular dynamics simulations of vibrated granular gases
We present molecular dynamics simulations of mono- or bidisperse inelastic
granular gases driven by vibrating walls, in two dimensions (without gravity).
Because of the energy injection at the boundaries, a situation often met
experimentally, density and temperature fields display heterogeneous profiles
in the direction perpendicular to the walls. A general equation of state for an
arbitrary mixture of fluidized inelastic hard spheres is derived and
successfully tested against numerical data. Single-particle velocity
distribution functions with non-Gaussian features are also obtained, and the
influence of various parameters (inelasticity coefficients, density...)
analyzed. The validity of a recently proposed Random Restitution Coefficient
model is assessed through the study of projected collisions onto the direction
perpendicular to that of energy injection. For the binary mixture, the
non-equipartition of translational kinetic energy is studied and compared both
to experimental data and to the case of homogeneous energy injection
(``stochastic thermostat''). The rescaled velocity distribution functions are
found to be very similar for both species
Tracer diffusion in granular shear flows
Tracer diffusion in a granular gas in simple shear flow is analyzed. The
analysis is made from a perturbation solution of the Boltzmann kinetic equation
through first order in the gradient of the mole fraction of tracer particles.
The reference state (zeroth-order approximation) corresponds to a Sonine
solution of the Boltzmann equation, which holds for arbitrary values of the
restitution coefficients. Due to the anisotropy induced in the system by the
shear flow, the mass flux defines a diffusion tensor instead of a
scalar diffusion coefficient. The elements of this tensor are given in terms of
the restitution coefficients and mass and size ratios. The dependence of the
diffusion tensor on the parameters of the problem is illustrated in the
three-dimensional case. The results show that the influence of dissipation on
the elements is in general quite important, even for moderate values
of the restitution coefficients. In the case of self-diffusion (mechanically
equivalent particles), the trends observed in recent molecular dynamics
simulations are similar to those obtained here from the Boltzmann kinetic
theory.Comment: 5 figure
In-reach specialist nursing teams for residential care homes : uptake of services, impact on care provision and cost-effectiveness
Background: A joint NHS-Local Authority initiative in England designed to provide a dedicated nursing and physiotherapy in-reach team (IRT) to four residential care homes has been evaluated.The IRT supported 131 residents and maintained 15 'virtual' beds for specialist nursing in these care homes.
Methods: Data captured prospectively (July 2005 to June 2007) included: numbers of referrals; reason for referral; outcome (e.g. admission to IRT bed, short-term IRT support); length of stay in IRT; prevented hospital admissions; early hospital discharges; avoided nursing home transfers; and detection of unrecognised illnesses. An economic analysis was undertaken.
Results: 733 referrals were made during the 2 years (range 0.5 to 13.0 per resident per annum)resulting in a total of 6,528 visits. Two thirds of referrals aimed at maintaining the resident's independence in the care home. According to expert panel assessment, 197 hospital admissions were averted over the period; 20 early discharges facilitated; and 28 resident transfers to a nursing home prevented. Detection of previously unrecognised illnesses accounted for a high number of visits. Investment in IRT equalled £44.38 per resident per week. Savings through reduced hospital admissions, early discharges, delayed transfers to nursing homes, and identification of previously
unrecognised illnesses are conservatively estimated to produce a final reduction in care cost of £6.33 per resident per week. A sensitivity analysis indicates this figure might range from a weekly overall saving of £36.90 per resident to a 'worst case' estimate of £2.70 extra expenditure per resident per week.
Evaluation early in implementation may underestimate some cost-saving activities and greater savings may emerge over a longer time period. Similarly, IRT costs may reduce over time due to the potential for refinement of team without major loss in effectiveness.
Conclusion: Introduction of a specialist nursing in-reach team for residential homes is at least cost neutral and, in all probability, cost saving. Further benefits include development of new skills in the care home workforce and enhanced quality of care. Residents are enabled to stay in familiar surroundings rather than unnecessarily spending time in hospital or being transferred to a higher
dependency nursing home setting
Diffusion of impurities in a granular gas
Diffusion of impurities in a granular gas undergoing homogeneous cooling
state is studied. The results are obtained by solving the Boltzmann--Lorentz
equation by means of the Chapman--Enskog method. In the first order in the
density gradient of impurities, the diffusion coefficient is determined as
the solution of a linear integral equation which is approximately solved by
making an expansion in Sonine polynomials. In this paper, we evaluate up to
the second order in the Sonine expansion and get explicit expressions for
in terms of the restitution coefficients for the impurity--gas and gas--gas
collisions as well as the ratios of mass and particle sizes. To check the
reliability of the Sonine polynomial solution, analytical results are compared
with those obtained from numerical solutions of the Boltzmann equation by means
of the direct simulation Monte Carlo (DSMC) method. In the simulations, the
diffusion coefficient is measured via the mean square displacement of
impurities. The comparison between theory and simulation shows in general an
excellent agreement, except for the cases in which the gas particles are much
heavier and/or much larger than impurities. In theses cases, the second Sonine
approximation to improves significantly the qualitative predictions made
from the first Sonine approximation. A discussion on the convergence of the
Sonine polynomial expansion is also carried out.Comment: 9 figures. to appear in Phys. Rev.
Jacobi-Lie systems: Fundamentals and low-dimensional classification
A Lie system is a system of differential equations describing the integral
curves of a -dependent vector field taking values in a finite-dimensional
real Lie algebra of vector fields, a Vessiot-Guldberg Lie algebra. We define
and analyze Lie systems possessing a Vessiot-Guldberg Lie algebra of
Hamiltonian vector fields relative to a Jacobi manifold, the hereafter called
Jacobi-Lie systems. We classify Jacobi-Lie systems on and
. Our results shall be illustrated through examples of physical
and mathematical interest.Comment: 15 pages. Examples, references and comments added. Based on the
contribution presented at "The 10th AIMS Conference on Dynamical Systems,
Differential Equations and Applications", July 07-11, 2014, Madrid, Spain. To
appear in the Proceedings of the 10th AIMS Conferenc
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